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首页> 外文期刊>Health affairs >China's New Cooperative Medical Scheme Improved Finances Of Township Health Centers But Not The Number Of Patients Served.
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China's New Cooperative Medical Scheme Improved Finances Of Township Health Centers But Not The Number Of Patients Served.

机译：中国的新合作医疗计划改善了乡镇卫生院的财务状况，但服务的病人人数却没有增加。

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China's New Cooperative Medical Scheme, launched in 2003, was designed to protect rural households from the financial risk posed by health care costs and to increase the use of health care services. This article reports on findings from a longitudinal study of how the program affected the use of health care services, out-of-pocket spending on medical care, and the operations and financial viability of China's township health centers, which constitute a middle tier of care in between village clinics and county hospitals. We found that between 2005 and 2008 the program provided some risk protection and increased the intensity of inpatient care at township health centers. Importantly, the program appears to have improved the centers' financial status. At the same time, the program did not increase the overall number of patients served or the likelihood that a sick person would seek care at a township center. These findings serve as a benchmark of the program's early impact. The results also suggest that the composition of health care use in China has changed, with people increasingly seeking outpatient care at village clinics and inpatient care at township health centers.
机译：中国的新合作医疗计划于2003年启动，旨在保护农村家庭免受医疗费用带来的财务风险并增加医疗服务的使用。本文报告了一项纵向研究的发现，该研究涉及该计划如何影响医疗服务的使用，自付费用的医疗费用以及构成城镇医疗中间层的中国乡镇卫生中心的运营和财务可行性在乡村诊所和县医院之间。我们发现，在2005年至2008年之间，该计划提供了一定程度的风险保护，并增加了乡镇卫生院的住院治疗强度。重要的是，该计划似乎已经改善了中心的财务状况。同时，该计划没有增加所服务患者的总数，也没有增加病人在镇中心寻求护理的可能性。这些发现可作为该计划早期影响的基准。结果还表明，随着人们越来越多地在乡村诊所寻求门诊服务以及在乡镇卫生中心寻求住院服务，中国的医疗保健使用结构已经发生了变化。

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